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It’s Not about Health Care—It’s about Control

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July 18th, 2017      For Immediate Release!

Contributor & author: Jane M. Orient, M.D., Executive Director of Association of American Physicians and Surgeons (AAPS)

 

Preview:

  • We’re moving toward the end-game of single payer, which assures the continued diversion of funds to the Swamp. These funds are no longer available for people to choose to spend. And worse, the System will carefully control the funds that actually provide care, say by punishing doctors for deviating from government-dictated “best practices.” It will allow nothing it calls “snake oil” (things like vitamin D, hormone supplements for aging, or other generally benign items that people find worthwhile but that drain profits from government-approved treatments). Nothing “futile” like experimental treatment for Charlie Gard. Nothing experimental outside the control of the FDA (that might compete with lucrative drugs). Nothing that is not “value based” (such as life-sustaining treatment including food and water to patients not valuable enough to treat for pneumonia, heart failure, or a bleeding ulcer).
  • Last year, Nevada Medicaid paid managed-care companies as much as $213 million for more than 30,000 people who received no care at all. Maybe that money was taken from housing or law enforcement.

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Universal Coverage Means Less Care

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Contributor & author: Jane M. Orient, M.D., Executive Director of Association of American Physicians and Surgeons (AAPS)

Interview – Contact Dr. Orient directly at (520) 323-3110 or by email at janeorientmd@gmail.com

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When the money is gone, treatment is canceled. There will be fewer beds, fewer CT scanners, fewer drugs, and fewer doctors. But all will be fair. No rationing by price, just by waiting lines, political pull—and death. There will be no medical bills to pay after a service, if you get any service. Only taxes in advance, service or no service.

That’s why the universal care advocates count enrollees, not the number of services, and constantly harp on “excessive” treatment, even while planning to make patients wait months for an appointment.”

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May 16th, 2017

The reported success of the Affordable Care Act (ACA or ObamaCare) is based on enrollment numbers. Millions more have “coverage.” Similarly, the predicted disasters from repeal have to do with loss of coverage. Tens of thousands of deaths will allegedly follow. Activists urge shipping repeal victims’ ashes to Congress—possibly illegal and certainly disrespectful of the loved one’s remains, which will end up in a trash dump.

Where are the statistics about the number of heart operations done on babies born with birth defects, the latest poster children? How about the number of babies saved by this surgery, and the number allowed to die without an attempt at surgery—before and after ACA? I haven’t seen them. Note that an insurance plan doesn’t do the operation. A doctor does. The insurer can, however, try to block it

Also missing are figures on the number of courses of cancer chemotherapy given, or not given, or the time from diagnosis to death in cancer patients before and after ACA. Five-year survival of cancer patients in the U.S. is generally better than in countries that have universal coverage, or the type of plan progressives want to import. Again, the insurance plan isn’t medicine. You can get medicine without insurance, and if you have insurance it might refuse to pay.

There are selected comparisons of change in mortality rates in states that did or did not expand Medicaid (such as New York vs. Pennsylvania). On the other hand, mortality did not decrease in one state (Oregon). These estimates—guesstimates really, are based on the weakest type of data, and the differences may have nothing to do with Medicaid. Maybe it was better AIDS treatments. We hope that the FDA does not use evidence this poor to evaluate drugs.

But what effect did ObamaCare have on overall U.S. mortality?

Between 2014 and 2015, U.S. mortality rates increased for the first time in decades. This primarily affected less-educated whites. Is ObamaCare the cause? There are many factors involved, drug abuse probably being the most important. But I suspect that if repeal had happened in 2012 or 2013, it would have been blamed.

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Medical Communication Companies and America’s Medical Propaganda Machine

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Duty to Warn

By Gary G. Kohls, MD

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“(Mitochondria, by the way, are the tiny energy-producing “hearts and lungs” of every living cell in our bodies that can be poisoned by the ingredients of many of our commonly prescribed drugs and vaccines.)”

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Examining One of the Many Ways That Healthcare Providers are Compelled to Over-prescribe Big Pharma’s Unaffordable, Often Toxic and Often Dependency-inducing Prescription Drug

“He who pays the piper calls the tune.” – Robert Browning

Similar conflicts of interest and biases exist in virtually every field of medicine, particularly those that rely heavily on drugs or devices. It is simply no longer possible to believe much of the clinical research that is published or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of The New England Journal of Medicine.” Marcia Angell, MD, author of “The Truth About the Drug Companies: How They Deceive Us and What to Do About It”

“The results of (usually Big Pharma-sponsored) clinical trials are submitted to the FDA, and if one or two drug trials are positive—that is, if they show effectiveness without serious risk—the drug is usually approved, even if all the other trials are negative.” — Marcia Angell, MD, author of “Drug Companies and Doctors: A Story of Corruption” More

Clinton may be the “death sentence” for America and Trump is 50/50

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new-logo25Editorial response by:  Doug Kinan

 

Globe article: Wild presidential debates have proved pivotal in trajectory of campaign – The Boston Globe

Kinan’s Response:

Both candidates have acted inappropriately and both have history.

Private sector history and public sector history are different.

Trump’s alleged history has had no impact on the nation and the world.

Clinton has three decades of public service with little to show America what has been accomplished for America and Americans.

Essentially the government no longer represents the American taxpayers. Is the status quo what America needs or wants?

On one issue alone, “immigration”, the choice should be clear. More

Obamacare: Death to Physicians? Suicide Rates Climb Since ACA Passed

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new logoBy Elizabeth Lee Vliet, M.D

Physicians also fear losing hospital privileges if treatment for depression is disclosed. Hospital administrators increasingly use mandated psychiatric treatment as a bullying tactic to remove independent-thinking, patient-focused physicians from hospital staff.

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Chaos and disruptions in medical care have had one tragic and destructive effect that no one is addressing: the deaths of more than 2,000 physicians by suicide since Obamacare was passed by means of strong-arming and bribery.

censored doctPhysicians in general have a higher rate of suicide than other professional groups and the general public. Women physicians’ suicide rates are reported to be up to 400% higher than women in other professions. Male physicians’ rates are 50% to 70% higher.

Why are more physicians seeing suicide as their only option? The rising rate since the 2010 Affordable Care Act was passed points to the added regulatory and financial pressures from Obamacare as major factors:
• need to see more patients per hour to make ends meet
• lower payments, longer delays in being paid, and declining patient visits due to higher co-pays and deductibles
• financial stress, a known trigger for suicide, intensified by a 40 % to 50% decline in practice revenues as overhead costs go, forcing many primary-care physicians to close up their practices
• increasing administrative and paperwork burden, which takes time away from patient care, without the satisfactions of helping patients
• more generalized “one-size-fits-all” protocols demanded by insurance and government “guidelines”
• more forms, reports, and regulations that no one understands, but with huge financial penalties and even prison time for making mistakes
• demonization of “greedy doctors” by insurance companies, government, and media.

Doctors have always been at higher risk of suicide than other professions for several reasons:
• pressures of responsibility for patients’ lives
• fear of making mistakes that might cost a life or trigger a malpractice suit
• fear of losing one’s medical license and livelihood
• long hours, time away from families on nights and weekends
• high rates of unrecognized or untreated depression, alcohol or substance abuse, and divorce due to all of the above

Doctors are human too, and have feelings. I think other critically overlooked factors in the rising suicide rates since 2010 include:
• the increasing sense that doctors are just a “cog in a wheel,” interchangeable with those having less training and expertise
• feeling unappreciated by patients, who toss them aside like an old toy when insurance plans change
• frustration with patients who dismiss medical recommendations if “it is not covered by my insurance”
• loss of autonomy, control, and independence as faceless insurance clerks, bean-counters, licensing boards, and government agencies dictate how, where, and when medicine is to be practiced, with no knowledge of the patient in question.

Physicians are also often their own worst doctors and feel they can handle their own health issues and stress. There is the ever-present social stigma about seeking mental health treatment, but for physicians this is magnified by the fear of being penalized and having their medical license jeopardized if they seek treatment for depression or stress. We encourage others to seek mental health professionals if appropriate, but most physicians are afraid to do so themselves because such treatment must be reported on each medical license renewal application, increasing the risk of losing one’s license and livelihood.

Physicians also fear losing hospital privileges if treatment for depression is disclosed. Hospital administrators increasingly use mandated psychiatric treatment as a bullying tactic to remove independent-thinking, patient-focused physicians from hospital staff.

All of these problems, especially the feelings of loss of control and loss of autonomy in one’s medical decision-making, have escalated dramatically with the ever-increasing regulatory burdens under Obamacare.

A death by suicide is devastating to families, leaving emotional scars that may never heal. Physicians’ family members often have significant support to help with grief and shock, but very little attention is paid to the needs of patients, especially older patients who often have profound feelings of loss, and little support to help them through unexpected loss of a trusted physician upon whom they depended.

Most doctors go into medicine truly committed to helping people who are ill and in pain. Today, doctors are under siege with outside forces preventing them from doing the very thing that means the most: taking care of patients. The sensitive and compassionate ones have an even harder time dealing with denials of care they know their patients need.

The toll on doctors—and then patients—is getting worse daily. Insurance and government bureaucrats had best remember: at some point, we ALL will be a patient—that includes YOU.

WARNING: dead doctors cannot save your life.

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The Final Financial Solution: Shoot the Messengers

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new-logo25Submitted By Dr. Gary Kohls
By Guest Columnist William Annett

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“(c) The greatest boff of all belongs to the pharmaceutical industry and its standard-bearer GlaxoSmithKline (GSK). Normal operations, sanctioned by a well-juiced government and its trained seal the FDA, consist of developing top-drawer medications which are then marketed for billions, whether or not they’re dangerous – or even criminal.”

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We’re living in a cuckoo’s nest that would have baffled Ken Kesey. thFLBPYT2F Consider just three items at the top of our agenda.

(1) Astronomical military spending at a time when there’s nobody left in the world big enough to fight us, with the exception of international terrorists (of which the definition is any rebel faction in a Middle East loaded with factions, most of which we first created, then armed and now oppose, not because they’ve changed but because we have),

(2) the health care farce, which makes us the most expensive, least effective (at least #47 in the world) and largest laughingstock in the world, and finally,

(3) the final triumph of corporate governance in Washington, which is icing the decline and fall of both capitalism and democracy in one fell swoop.

Witness the final humiliation: Warren Buffett, the richest deckhand on this ship of fools, recently announced how he could cure all our ills in about five minutes: every time Congress screws up by deadlocking itself or filibustering over the people’s business, we suspend their Congressional salaries and munificent benefits, such as the real health care system they deny us. The result would be guaranteeing the immediate end of deficits, debt problems and unemployment. Inadequate, Warren, but like drowning lawyers, a good start.

Take the Pentagon (as Rodney Dangerfield might say: Please). While every politician is shit-hemorrhaging over the budget deficit, military spending has reached such ridiculous proportions that multi-billion dollar items (such as the recent F-35 horror) click automatically into place, even though nobody – including the Pentagon brass itself – wants the bloody thing. It’s just fixed, embedded national policy/corporate welfare that subsidizes the weapons industry. And just the other day, our formerly audacious hopeful President sent to Congress his endorsement of the largest Pentagon budget in history. More

ACOs Are the Latest Assault on Private Medical Practice

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new-logo25By Richard Amerling, M.D.

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“Burwell is not content with destroying only Medicare. According to Medscape, “Burwell also announced the creation of a Health Care Payment and Learning and Action Network”

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In a critique of Accountable Care Organizations (ACOs) last October I 1723251_10152281254508606_304151171_nwrote: “Now comes news that three more of the original groups will jump ship, leaving only 19 of the original 32 still on board. A nearly 50 percent attrition rate should be seen as a death knell for the concept, as these were likely the best of the best, and the inducements most generous. Reasonable people would head back to the drawing board. But we are dealing with government bureaucrats, health policy wonks, and administrators. They will damn the torpedoes and push on at flank speed.”

And, as predicted, that is exactly what is happening. More

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